雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

Japanese Occupational Therapy Research Volume 37, Issue 2 （April 2018）

作業療法 37巻2号（2018年4月発行）

Japanese English

◆研究論文

急性期片麻痺患者群の認知機能が退院もしくは転院時における個々の活動の実行状況に及ぼす影響 Influence of cognitive function of acute hemiplegia patients with cognitive decline on the performance of daily activities at the time of discharge or hospital transfer 井上順一 ¹ Junichi Inoue ¹ ¹国立病院機構肥前精神医療センター（前所属；国立病院機構鹿児島医療センター） ¹National Hospital Organization Hizen Psychiatric Center (Former affiliation; National Hospital Organization Kagoshima Medical Center) キーワード：急性期 , 片麻痺 , 認知機能 , 活動 , （実行状況） , Acute care phase , Hemiplegia , Cognitive function , Activity , Performance Keyword: 急性期 , 片麻痺 , 認知機能 , 活動 , （実行状況） , Acute care phase , Hemiplegia , Cognitive function , Activity , Performance pp.179-187

発行日 2018年4月15日 Published Date 2018/4/15

PDF(606KB)

販売していません

Abstract 文献概要
1ページ目 Look Inside
参考文献 Reference

要旨：本論の目的は，認知機能低下を伴う急性期片麻痺患者群の認知機能が，個々の活動の実行状況に及ぼす影響を検討することであった．認知機能はJapanese version of Montreal Cognitive Assessment（以下，MoCA-J）を，活動はFIMを用いて評価した．分析では単回帰分析を用い，MoCA-J合計点からFIM各項目の得点が予測できるかを確かめた．結果，入院後平均8.36日目のMoCA-J合計点から，入院後平均24.73日目の排尿管理，排便管理，理解，表出，社会的交流，問題解決，記憶の実行状況が，予測できる可能性が示唆された．急性期片麻痺のOT実施計画では，認知機能と上記活動の関連を考慮する必要がある．

　Introduction: The purpose of this study was to examine the influence of cognitive function of acute hemiplegia patients with cognitive decline on the performance of daily activities at the time of discharge or hospital transfer. Methods: Subjects were 22 acute hemiplegia patients with cognitive decline. The cognitive function was assessed by Japanese version of Montreal Cognitive Assessment (MoCA-J) total score. The range of the MoCA-J total score is zero to 30 points (26 points or more is normal); the subjects in this study scored less than 25 points. The performance of each of the daily activities was assessed by 18 items of the Functional Independence Measure (FIM). The scores ranged from one to seven points per activity. Single regression analysis was used to confirm whether the performance of each activity (score of one item) could be predicted by cognitive function (MoCA-J total sore). Results: Single regression analysis suggests that the performance of the seven activities (Bladder management, Bowel management, Comprehension, Expression, Social interaction, Problem solving, and Memory) during three weeks after hospitalization (average length of hospital stay 24.73 ± 6.60 day) was predicted from the MoCA-J total score one week after hospitalization (average length of hospital stay 8.36 ± 2.75 day). Discussion: In the Occupational therapy plan for acute hemiplegia patients with cognitive decline, it is necessary to consider the possibility that quantity of care increases in the seven activities during cognitive decline.